AB-300  /  Parkinson's disease apathy

The ability to act is not the same as the drive to begin.

Ariadne Bio is developing AB-300, an investigational serotonergic therapy for apathy in Parkinson's disease.

AB-300 · structural context

The serotonin 5-HT2A receptor

Ribbon representation of the serotonin 5-HT2A receptor, with a bound ligand highlighted in amber. Published structure PDB 9LLA.
Published receptor structure · Xu et al., Nature, 2026 PDB 9LLA

AB-300 is investigational. Its safety and efficacy have not been established, and it has not been approved by any regulatory authority.

Development
Funded Phase 1b program
This research is funded in part by The Michael J. Fox Foundation for Parkinson's Research (MJFF, Research Organization Registry (ROR)) through grant MJFF-028323
Intellectual property
U.S. composition-of-matter patent
Granted November 2025
Next clinical question
Initial human safety and pharmacokinetics
Goal: characterize exposure and tolerability.

Status last updated September 2026.

The category

Not simply low mood. Not simply impaired movement.

Apathy is independently associated with functional decline, greater care-partner burden and distress, and higher institutionalization risk. Care partners are often the first to notice, because apathy reduces the drive to seek help.

Apathy is a persistent reduction in motivation and goal-directed behavior. It is one of the most common non-motor features of Parkinson’s disease and one of the least studied.

40%

Approximately 40% of people with Parkinson's disease, roughly 440,000 Americans, experience clinically significant apathy.

den Brok et al., 2015; Parkinson's Foundation

15.6 million

People projected to be living with Parkinson's disease worldwide in 2030.

Su et al., 2025

Apathy in Parkinson's disease

“Half of patients with apathy do not suffer from concomitant depression or cognitive impairment, confirming its status as a separate clinical syndrome in PD.”

den Brok et al., Movement Disorders, 2015
What may be retained
Capacity, interest and physical ability.
Why it matters
Apathy requires its own measurement and its own therapeutic development. It can be assessed with validated clinical scales, and it persists in many patients after motor symptoms are optimized.

Mistaken for

Depression

Motivation can survive low mood. Antidepressants do not reliably treat apathy in Parkinson's disease, and some studies suggest they may worsen it.

Mistaken for

Motor impairment

Motivation can survive impaired movement. Parkinson's therapies treat motor symptoms effectively, but they do not necessarily address apathy.

The program · AB-300

Motor symptoms improve. Apathy often does not.

AB-300 is being developed as an add-on to stable dopaminergic therapy for people whose apathy persists after motor symptoms are treated.

What is being developed?

The molecule

  • Investigational oral small molecule
  • Partial agonist at the 5-HT2A receptor
  • No measurable activity at dopamine receptors or the dopamine transporter in off-target screening

The intended product

  • Designed for a non-hallucinogenic profile
  • Designed for chronic oral dosing
  • Developed as an add-on to stable dopaminergic therapy

Position

  • Initial clinical focus: Parkinson's disease with clinically significant apathy
  • Potential future indications: apathy in related conditions of brain aging.
  • Regulatory: Type B pre-IND meeting with the U.S. Food and Drug Administration completed, 2026
Why this pharmacology?

The serotonin 5-HT2A receptor is one of the most actively investigated targets in psychiatry. Therapies targeting this serotonin receptor are under active clinical investigation across several conditions. Almost all of that work has been done with compounds that produce a profound subjective experience, and that experience is what has kept the receptor inside supervised settings: a clinic, a monitor, a full day for every dose.

AB-300 is designed to engage the same receptor without producing that experience. If it does, the receptor becomes available to a medicine an older adult can take at home for as long as it is needed. That is a different set of conditions from the ones supervised administration can reach.

What must the clinical program establish?

Ariadne is testing two things at once: whether a 5-HT2A partial agonist designed for a non-hallucinogenic profile can be given chronically in Parkinson's disease, and whether it produces a measurable treatment signal in apathy. The staged Phase 1b is built to answer these questions.

AB-300 is investigational and has not been approved by any regulatory authority.

Mechanistic hypothesis; human circuit engagement remains to be established.

Compare administration models

Model under clinical investigation today

Supervised administration

Model AB-300 is designed for

Chronic dosing at home

Serotonin receptor 5-HT2A 5-HT2A
Hallucinogenic effects Present, and the reason monitoring is required Designed to be absent
Dosing Intermittent sessions Daily oral dosing at home
Setting Clinic, monitored for the duration of the dose Home
Accessibility Limited to patients who can travel to a clinic and be monitored for the duration of every dose Suited to older adults managing a chronic condition at home, including those with mobility or care-partner constraints
Development status Varies by program AB-300 is investigational. Phase 1b expected to begin in the second half of 2026.

Descriptive comparison of administration models. No claim of comparative efficacy or safety is intended or supported. AB-300 has not been administered to humans.

The team

The people building the program.

The team has taken serotonergic compounds through clinical development and run CNS trials to a decision.

Shlomi Raz

Founder and Chief Executive Officer

Ariadne Bio, Inc.

Founder and CEO, Eleusis; President, Beckley Psytech; Goldman Sachs MD. Leads strategy, financing and partnering.

Kostia Adamsky, PhD

Chief Operating Officer

Ariadne Bio, Inc.

20+ years in biopharma; VP Operations, CEO and co-founder across multiple CNS and neurodegeneration companies; PhD, Weizmann Institute. Leads development planning.

Dan Jeffries, PhD

Chief Development Officer

Ariadne Bio, Inc.

Scientist-founder at the intersection of chemistry and venture; former Roivant; PhD Vanderbilt, postdoc Harvard. Leads clinical strategy, CMC and the nonclinical package.

Ken Belotsky

Managing Director

Ariadne Bio GmbH

Founding Partner of Palomar Labs. Serial founder and venture investor with 25+ CNS and neuroscience deals and 3 exits. Resident in Vienna; leads operational project management and vendor coordination.

C. Anthony (Tony) Altar, PhD

Chief Scientific Officer

Ariadne Bio GmbH

Four decades in CNS discovery and early development; Genentech, Roche, Otsuka. Characterised aripiprazole's partial agonism at serotonin receptors. Austrian citizen. Leads in-house scientific and medical R&D.

Robert Schüssler

Managing Director

Ariadne Bio GmbH

Managing director at the company's Austrian seat since September 2025. Thirty years scaling international technology businesses, including senior roles at SAP. Owns Austrian corporate and authority matters and grant administration.

Vesela Gavrailova

Head of Clinical Operations

Ariadne Bio GmbH

Twenty-one years in clinical research, fifteen of them at Boehringer Ingelheim, most recently as global lead for site management and monitoring. Built and led regional monitoring teams covering eight countries from Vienna. Owns clinical operations for the AB-300 program.

Prior roles reflect companies with which team members were affiliated, and are not attributable to Ariadne Bio or its program. The program is advised by an eight-member clinical and scientific advisory group that includes former pharmaceutical R&D leadership.

The evidence, in context

  1. den Brok et al., 2015 · Movement Disorders

    Apathy in Parkinson's disease: A systematic review and meta-analysis

    Read the study PubMed 25787145
  2. Cunningham et al., 2023 · ACS Chemical Neuroscience

    Pharmacology of non-hallucinogenic 5-HT2A receptor agonists

    Read the study PubMed 36521179
  3. Su et al., 2025 · BMJ

    Projections for prevalence of Parkinson's disease and its driving factors in 195 countries and territories to 2050: modelling study of Global Burden of Disease Study 2021

    Read the study DOI 10.1136/bmj-2024-080952
  4. Xu et al., 2026 · Nature

    Psychedelics elicit their effects by 5-HT2A receptor-mediated Gi signalling

    Read the study DOI 10.1038/s41586-025-10061-7
  5. Parkinson's Foundation · Parkinson's Prevalence Project; Marras et al., 2018, npj Parkinson's Disease

    An estimated 1.1 million people in the U.S. are living with Parkinson's disease.

    View the page Prevalence & Incidence

These publications provide scientific context. Their authors and publishers are not presented as endorsing AB-300.

Ariadne Bio is a Palomar Labs company.

Ariadne Bio was formed by Palomar Labs and is its first portfolio company.

Contact

A clinical question worth a conversation.

General
info@ariadnebio.com